Level 5 Gynecologic Procedures in Virginia
What 46 hospitals in Virginia charged and were paid for level 5 gynecologic procedures (APC 5415), from 2024 Medicare claims.
Average charge
$43,742
Hospital list price billed
Average allowed
$4,331
Medicare's payment + patient's share
Medicare paid
$3,423
Average per service
State rank
#14 of 48
1 = lowest average payment
Hospitals in Virginia billed an average of $43,742 for level 5 gynecologic procedures, about 10.1 times the average medicare-allowed amount of $4,331. That payment is 9% below the U.S. average of $4,779.
These are averages for patients with original (fee-for-service) Medicare. Private insurance pays different, negotiated prices, and what you owe depends on your plan's deductible and coinsurance. Use these figures to compare hospitals, not as a quote.
Paid $4,331Billed $43,742
About 10¢ was paid for every $1 hospitals in Virginia billed for this service.
Virginia hospitals: level 5 gynecologic procedures
Every Virginia hospital that billed Medicare for this service at least 11 times. Click a column to sort.
Lowest and highest allowed amounts in Virginia
Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
Lowest
| Sentara Virginia Beach General HospitalVirginia Beach, VA | $3,874 |
|---|---|
| Montgomery Regional HospitalBlacksburg, VA | $4,003 |
| Cjw Medical CenterRichmond, VA | $4,081 |
| Carilion Medical CenterRoanoke, VA | $4,127 |
| Centra Health - Lynchburg Gen HospitalLynchburg, VA | $4,271 |
Highest
| Winchester Medical Center INCWinchester, VA | $4,747 |
|---|---|
| Sentara Northern Virginia Medical CenterWoodbridge, VA | $4,664 |
| Culpeper Regional HospitalCulpeper, VA | $4,664 |
| Bon Secours - St Marys Hospital of RichmondRichmond, VA | $4,567 |
| University of Virginia Medical CenterCharlottesville, VA | $4,486 |
Level 5 Gynecologic Procedures in other states
Questions
How much does level 5 gynecologic procedures cost in Virginia?
In 2024 Medicare data, level 5 gynecologic procedures (APC 5415) at 46 hospitals in Virginia was billed at $43,742 on average, while the average medicare-allowed amount was $4,331, of which Medicare paid $3,423. Your own cost depends on your insurance, deductible and the hospital.
Why are hospital charges so much higher than payments?
Charges are a hospital's list prices. Medicare pays fixed rates set in advance, and private insurers negotiate their own discounts, so almost nobody pays the full charge. For this service in Virginia, average charges were 10.1 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.
Source: CMS, Medicare Outpatient Hospitals by Provider and Service, 2024. The allowed amount is Medicare's payment plus the patient's coinsurance. CMS omits hospitals with fewer than 11 services for privacy. About the data.